<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Card_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_name" data-rule="required" class="form-control" name="row[card_name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Month_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-month_price" data-rule="required" class="form-control" step="0.01" name="row[month_price]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Quarter_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-quarter_price" data-rule="required" class="form-control" step="0.01" name="row[quarter_price]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Year_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-year_price" data-rule="required" class="form-control" step="0.01" name="row[year_price]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Discount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-discount" data-rule="required" class="form-control" step="0.01" name="row[discount]" type="number" value="10.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Equity')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-equity" data-rule="required" class="form-control " rows="5" name="row[equity]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
